Trial Outcomes & Findings for Tofacitinib in Recurrent GBM Patients (NCT NCT05326464)
NCT ID: NCT05326464
Last Updated: 2026-06-29
Results Overview
Median progression-free survival from initiation of Tofacitinib until disease progression as defined by the RANO criteria, unacceptable toxicity, withdrawal of consent, or discontinuation from the trial for any other reason.
COMPLETED
PHASE3
18 participants
From treatment initiation until documented radiographic or clinical progression by RANO criteria or death, whichever came first, assessed up to 2 years.
2026-06-29
Participant Flow
Participant milestones
| Measure |
Newly Diagnosed or Recurrent Off Temozolomide
Tofacitinib 10mg BID x 28 days with Temozolomide 150mg/m2 on days 1-5
|
Recurrent Disease on Temozolomide
Tofacitinib 10mg BID x Lomustine 90mg/m2 on day 1
|
|---|---|---|
|
Overall Study
STARTED
|
9
|
9
|
|
Overall Study
COMPLETED
|
9
|
9
|
|
Overall Study
NOT COMPLETED
|
0
|
0
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Tofacitinib in Recurrent GBM Patients
Baseline characteristics by cohort
| Measure |
Newly Diagnosed or Recurrent Off Temozolomide
n=9 Participants
Participants will take Tofacitinib 10mg BID x 28 days with Temozolomide 150mg/m2 on days 1-5.
Tofacitinib 10mg: 10 mg given orally twice daily until evidence of progression, intolerance of treatment, withdrawal of consent, or death.
Temozolomide: Temozolomide 150mg/m2 - 200mg/m2 on days 1-5
|
Recurrent Disease on Temozolomide
n=9 Participants
Tofacitinib 10mg BID x 42 days Lomustine 90mg/m2
Tofacitinib 10mg: 10 mg given orally twice daily until evidence of progression, intolerance of treatment, withdrawal of consent, or death.
Lomustine: Lomustine 90mg/m2 on day 1
|
Total
n=18 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Categorical
<=18 years
|
0 Participants
n=9 Participants
|
0 Participants
n=27 Participants
|
0 Participants
n=267 Participants
|
|
Age, Categorical
Between 18 and 65 years
|
4 Participants
n=9 Participants
|
6 Participants
n=27 Participants
|
10 Participants
n=267 Participants
|
|
Age, Categorical
>=65 years
|
5 Participants
n=9 Participants
|
3 Participants
n=27 Participants
|
8 Participants
n=267 Participants
|
|
Age, Continuous
|
60.56 years
n=9 Participants
|
63.67 years
n=27 Participants
|
62.11 years
n=267 Participants
|
|
Sex: Female, Male
Female
|
4 Participants
n=9 Participants
|
3 Participants
n=27 Participants
|
7 Participants
n=267 Participants
|
|
Sex: Female, Male
Male
|
5 Participants
n=9 Participants
|
6 Participants
n=27 Participants
|
11 Participants
n=267 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
0 Participants
n=9 Participants
|
0 Participants
n=27 Participants
|
0 Participants
n=267 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
7 Participants
n=9 Participants
|
7 Participants
n=27 Participants
|
14 Participants
n=267 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
2 Participants
n=9 Participants
|
2 Participants
n=27 Participants
|
4 Participants
n=267 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=9 Participants
|
0 Participants
n=27 Participants
|
0 Participants
n=267 Participants
|
|
Race (NIH/OMB)
Asian
|
0 Participants
n=9 Participants
|
0 Participants
n=27 Participants
|
0 Participants
n=267 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=9 Participants
|
0 Participants
n=27 Participants
|
0 Participants
n=267 Participants
|
|
Race (NIH/OMB)
Black or African American
|
1 Participants
n=9 Participants
|
0 Participants
n=27 Participants
|
1 Participants
n=267 Participants
|
|
Race (NIH/OMB)
White
|
6 Participants
n=9 Participants
|
7 Participants
n=27 Participants
|
13 Participants
n=267 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=9 Participants
|
0 Participants
n=27 Participants
|
0 Participants
n=267 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
2 Participants
n=9 Participants
|
2 Participants
n=27 Participants
|
4 Participants
n=267 Participants
|
|
Region of Enrollment
United States
|
9 participants
n=9 Participants
|
9 participants
n=27 Participants
|
18 participants
n=267 Participants
|
PRIMARY outcome
Timeframe: From treatment initiation until documented radiographic or clinical progression by RANO criteria or death, whichever came first, assessed up to 2 years.Median progression-free survival from initiation of Tofacitinib until disease progression as defined by the RANO criteria, unacceptable toxicity, withdrawal of consent, or discontinuation from the trial for any other reason.
Outcome measures
| Measure |
Newly Diagnosed or Recurrent Off Temozolomide
n=9 Participants
Tofacitinib 10mg BID x 28 days with Temozolomide 150mg/m2 on days 1-5
|
Recurrent Disease on Temozolomide
n=9 Participants
Tofacitinib 10mg BID x Lomustine 90mg/m2 on day 1
|
|---|---|---|
|
Progression-free Survival (PFS) of the Study Cohort as Defined by RANO Criteria.
|
4 months
Interval 0.0 to 24.0
|
4 months
Interval 0.0 to 24.0
|
SECONDARY outcome
Timeframe: From treatment initiation until documented radiographic or clinical progression by RANO criteria or death, whichever came first, assessed up to 2 years.Median OS of the study patients from time of study entry until death or lost to follow-up.
Outcome measures
| Measure |
Newly Diagnosed or Recurrent Off Temozolomide
n=9 Participants
Tofacitinib 10mg BID x 28 days with Temozolomide 150mg/m2 on days 1-5
|
Recurrent Disease on Temozolomide
n=9 Participants
Tofacitinib 10mg BID x Lomustine 90mg/m2 on day 1
|
|---|---|---|
|
Overall Survival (OS) of the Study Cohort.
|
13.1 months
Interval 0.0 to 24.0
|
13.1 months
Interval 0.0 to 24.0
|
SECONDARY outcome
Timeframe: Up to 2 years after completion of study treatment, an average of 34 monthsAssess safety and tolerability associated with Tofacitinib 5 mg orally twice daily when administered to GBM patients. NCI Common terminology criteria for adverse events (CTCAE v.5) will be used to assess the adverse events.
Outcome measures
| Measure |
Newly Diagnosed or Recurrent Off Temozolomide
n=9 Participants
Tofacitinib 10mg BID x 28 days with Temozolomide 150mg/m2 on days 1-5
|
Recurrent Disease on Temozolomide
n=9 Participants
Tofacitinib 10mg BID x Lomustine 90mg/m2 on day 1
|
|---|---|---|
|
Percentage of Treatment Related Adverse Events
|
100 percentage of possibly related events
|
100 percentage of possibly related events
|
SECONDARY outcome
Timeframe: From treatment initiation until documented radiographic response by RANO criteria or death, whichever came first, assessed up to 2 years.Tumor response will be assessed using contrast and non-contrast brain magnetic resonance imaging (MRI) with assessments based on the international criteria proposed by the Response Assessment in Neuro-Oncology (RANO) Working Group, until progression of disease. For patients who do not progress or die, PFS will be censored at the last adequate radiologic assessment. RANO criteria: Complete Response (CR): Complete disappearance of all enhancing measurable and non measurable disease sustained for at least 4 weeks; Partial Response (PR): ≥50% decrease compared to baseline in the sum of products of perpendicular diameters of all measurable enhancing lesions sustained for at least 4 weeks; Progressive Disease (PD): ≥25% increase in the sum of products of perpendicular diameters of enhancing lesions compared to the smallest tumor measurement obtained either at baseline (if no decrease) or best response, on stable or increasing doses of corticosteroids;
Outcome measures
| Measure |
Newly Diagnosed or Recurrent Off Temozolomide
n=9 Participants
Tofacitinib 10mg BID x 28 days with Temozolomide 150mg/m2 on days 1-5
|
Recurrent Disease on Temozolomide
n=9 Participants
Tofacitinib 10mg BID x Lomustine 90mg/m2 on day 1
|
|---|---|---|
|
Radiographic Response Rate by RANO Criteria (Number of Participants With Response)
|
0 participants
Interval 0.0 to 0.0
|
0 participants
Interval 0.0 to 0.0
|
Adverse Events
Newly Diagnosed or Recurrent Off Temozolomide
Recurrent Disease on Temozolomide
Serious adverse events
| Measure |
Newly Diagnosed or Recurrent Off Temozolomide
n=9 participants at risk
Tofacitinib 10mg BID x 28 days with Temozolomide 150mg/m2 on days 1-5
|
Recurrent Disease on Temozolomide
n=9 participants at risk
Tofacitinib 10mg BID x Lomustine 90mg/m2 on day 1
|
|---|---|---|
|
Nervous system disorders
Depressed level of consciousness
|
0.00%
0/9 • 2 years, 10 months
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
|
General disorders
Edema
|
33.3%
3/9 • Number of events 3 • 2 years, 10 months
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
|
Investigations
Lymphocyte count decreased
|
33.3%
3/9 • Number of events 6 • 2 years, 10 months
|
11.1%
1/9 • Number of events 2 • 2 years, 10 months
|
|
Blood and lymphatic system disorders
Anemia
|
22.2%
2/9 • Number of events 2 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Investigations
Neutrophil count decreased
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Hepatobiliary disorders
Hypertension
|
11.1%
1/9 • Number of events 2 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Nervous system disorders
Seizure
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
Other adverse events
| Measure |
Newly Diagnosed or Recurrent Off Temozolomide
n=9 participants at risk
Tofacitinib 10mg BID x 28 days with Temozolomide 150mg/m2 on days 1-5
|
Recurrent Disease on Temozolomide
n=9 participants at risk
Tofacitinib 10mg BID x Lomustine 90mg/m2 on day 1
|
|---|---|---|
|
Nervous system disorders
Dysphasia
|
22.2%
2/9 • Number of events 2 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Nervous system disorders
Facial muscle weaknes
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Injury, poisoning and procedural complications
Fall
|
44.4%
4/9 • Number of events 8 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Nervous system disorders
Gait disturbance
|
44.4%
4/9 • Number of events 4 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Gastrointestinal disorders
Gastroesophageal reflux disease
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
|
Nervous system disorders
Headache
|
44.4%
4/9 • Number of events 8 • 2 years, 10 months
|
11.1%
1/9 • Number of events 2 • 2 years, 10 months
|
|
Metabolism and nutrition disorders
Hyperglycemia
|
33.3%
3/9 • Number of events 3 • 2 years, 10 months
|
11.1%
1/9 • Number of events 4 • 2 years, 10 months
|
|
Metabolism and nutrition disorders
Hypertriglyceridemia
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Metabolism and nutrition disorders
Hypokalemia
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Investigations
Lymphocyte count decreased
|
66.7%
6/9 • Number of events 33 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Nervous system disorders
Paresthesia
|
22.2%
2/9 • Number of events 2 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Investigations
Platelet count decreased
|
66.7%
6/9 • Number of events 13 • 2 years, 10 months
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
|
Nervous system disorders
Seizure
|
33.3%
3/9 • Number of events 9 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Infections and infestations
Shingles
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
|
Infections and infestations
Skin Infection
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Nervous system disorders
Somnolence
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Ear and labyrinth disorders
Tinnitus
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Respiratory, thoracic and mediastinal disorders
Wheezing
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Injury, poisoning and procedural complications
Wound complication
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Investigations
Alanine aminotransferase increased
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Investigations
Electrocardiogram T wave abnormal
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Investigations
Neutrophil count decreased
|
11.1%
1/9 • Number of events 4 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Infections and infestations
Pharyngitis
|
11.1%
1/9 • Number of events 2 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Nervous system disorders
Presyncope
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Nervous system disorders
Edema cerebral
|
44.4%
4/9 • Number of events 4 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Vascular disorders
Hypertension
|
22.2%
2/9 • Number of events 4 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
General disorders
Fatigue
|
55.6%
5/9 • Number of events 6 • 2 years, 10 months
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
|
Psychiatric disorders
Insomnia
|
22.2%
2/9 • Number of events 2 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Metabolism and nutrition disorders
Weight gain
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Nervous system disorders
Cognitive disturbance
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Psychiatric disorders
Confusion
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Nervous system disorders
Dizziness
|
33.3%
3/9 • Number of events 5 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Nervous system disorders
Memory impairment
|
33.3%
3/9 • Number of events 4 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Psychiatric disorders
Agitation
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Psychiatric disorders
Anxiety
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Nervous system disorders
Tremor
|
22.2%
2/9 • Number of events 2 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Musculoskeletal and connective tissue disorders
Blurred Vision
|
44.4%
4/9 • Number of events 6 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Musculoskeletal and connective tissue disorders
Back pain
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Eye disorders
Eye pain
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Gastrointestinal disorders
Oral Pain
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Gastrointestinal disorders
Constipation
|
33.3%
3/9 • Number of events 3 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Gastrointestinal disorders
Diarrhea
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Gastrointestinal disorders
Nausea
|
55.6%
5/9 • Number of events 7 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Gastrointestinal disorders
Vomiting
|
22.2%
2/9 • Number of events 2 • 2 years, 10 months
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
|
Skin and subcutaneous tissue disorders
Alopecia
|
22.2%
2/9 • Number of events 2 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Respiratory, thoracic and mediastinal disorders
Dyspnea
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Respiratory, thoracic and mediastinal disorders
Hypoxia
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Nervous system disorders
Amnesia
|
0.00%
0/9 • 2 years, 10 months
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
|
Cardiac disorders
Atrial fibrillation
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
General disorders
Pain
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Infections and infestations
Sinusitis
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Gastrointestinal disorders
Abdominal Pain
|
33.3%
3/9 • Number of events 3 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Immune system disorders
Allergic reaction
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Immune system disorders
Allergic rhinitis
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
|
22.2%
2/9 • Number of events 2 • 2 years, 10 months
|
22.2%
2/9 • Number of events 2 • 2 years, 10 months
|
|
Nervous system disorders
Muscle Weakness left-sided
|
0.00%
0/9 • 2 years, 10 months
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
|
Blood and lymphatic system disorders
Anemia
|
33.3%
3/9 • Number of events 14 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Musculoskeletal and connective tissue disorders
Arthralgia
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Investigations
Blood lactate dehydrogenase increased
|
0.00%
0/9 • 2 years, 10 months
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
|
Skin and subcutaneous tissue disorders
Bullous dermatitis
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Investigations
Cholesterol high
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Nervous system disorders
Depressed level of consciousness
|
11.1%
1/9 • Number of events 2 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Eye disorders
Dry eye
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Nervous system disorders
Dysarthria
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Nervous system disorders
Dysgeusia
|
11.1%
1/9 • Number of events 1 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
|
Gastrointestinal disorders
Dyspepsia
|
22.2%
2/9 • Number of events 2 • 2 years, 10 months
|
0.00%
0/9 • 2 years, 10 months
|
Additional Information
Dr. Michael Youssef
University of Texas Southwestern Medical Center
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place